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Addition of Cervical Elastography May Increase Preterm Delivery Prediction Performance in Pregnant Women with Short Cervix: a Prospective Study

Authors
Park, HS | Kwon, H | Kwak, DW  | Kim, MY | Seol, HJ | Hong, JS | Shim, JY | Choi, SK | Hwang, HS | Oh, MJ | Cho, GJ | Kim, K | Oh, SY | Korean Society of Ultrasound in Obstetrics and Gynecology Research Group
Citation
Journal of Korean medical science, 34(9). : e68-e68, 2019
Journal Title
Journal of Korean medical science
ISSN
1011-89341598-6357
Abstract
BACKGROUND: We investigated whether there is a difference in elastographic parameters between pregnancies with and without spontaneous preterm delivery (sPTD) in women with a short cervix (METHODS: E-Cervix(TM) (WS80A: Samsung Medison, Seoul, Korea) elastography was used to examine the cervical strain. Elastographic parameters were compared between pregnancies with and without sPTD. Diagnostic performance of elastographic parameters to predict sPTD RESULTS: A total of 130 women were included. Median gestational age (GA) at examination was 24.4 weeks (interquartile range, 21.4-28.9), and the prevalence of sPTD was 20.0% (26/130). Both the elastographic parameters and CL did not show statistical difference between those with and without sPTD. However, when only patients with CL >/= 1.5 cm (n = 110) were included in the analysis, there was a significant difference between two groups in elasticity contrast index (ECI) within 0.5/1.0/1.5 cm from the cervical canal (P < 0.05) which is one of elastographic parameters generated by E-Cervix. When AUC analysis was performed in women with CL >/= 1.5 cm, the combination of parameters (CL + pre-pregnancy body mass index + GA at exam + ECI within 0.5/1.0/1.5 cm) showed a significantly higher AUC than CL alone (P < 0.05).
CONCLUSION: An addition of cervical elastography may improve the ability to predict sPTD in women with a short CL between 1.5 and 2.5 cm.
Keywords
MeSH

DOI
10.3346/jkms.2019.34.e68
PMID
30863266
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Obstetrics & Gynecology
Ajou Authors
곽, 동욱
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